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01-01-2009 | Original Article

Does cesarean protect against fecal incontinence in primiparous women?

Authors: Jeanne-Marie Guise, Sarah Hamilton Boyles, Patricia Osterweil, Hong Li, Karen B. Eden, Motomi Mori

Published in: International Urogynecology Journal | Issue 1/2009

Abstract

The objective of this study was to identify factors associated with new onset of postpartum fecal incontinence in primiparous women. A population-based study was conducted that surveyed all women delivering between 2002 and 2003 in Oregon. Factors associated with fecal incontinence were identified using logistic regression analysis. A total of 6,152 primiparous women completed the survey 3–6 months postpartum with 2,482 reporting a new onset of fecal incontinence (FI) after childbirth. Vaginal delivery was associated with a greater risk of FI compared to cesarean (odds ratio = 1.45; 95% confidence interval, 1.29 to 1.64). However, vaginal delivery without laceration or instrument assistance did not increase the risk of FI over cesarean. Being overweight (body mass index ≥30 kg/m²), pushing for greater than 2 h, and constipation were independently associated with postpartum FI (p < 0.05) regardless of route of delivery. This study provides important data to inform counseling and management of primiparous women.

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Title: Does cesarean protect against fecal incontinence in primiparous women?
Authors: Jeanne-Marie Guise
Sarah Hamilton Boyles
Patricia Osterweil
Hong Li
Karen B. Eden
Motomi Mori
Publication date: 01-01-2009
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 1/2009
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-008-0729-1

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Does cesarean protect against fecal incontinence in primiparous women?

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